O5-3 Behavioural risk patterns among overweight and obese adolescents participating in the PRALIMAP-INES trial

Abstract Background It has been suggested that risk behaviours including diet, physical activity (PA), sedentary behaviour (SB), smoking and alcohol consumption cluster among adolescents. Our objective was to investigate clustering of risk behaviours in overweight and obese adolescents from the French PRALIMAP-InèS trial and to identify their socioeconomic correlates. Methods Information on diet (fruit, vegetables, sugary products and beverages), PA, SB (week and week-end days), smoking and alcohol consumption (current frequency and intoxication episodes) and socio-demographical data were collected using self-reported questionnaires at the trial inclusion. Behavioural risk factors were entered as categorical variables in a two-step clustering procedure: multiple correspondence analyses followed by a two-way clustering procedure based on hierarchical methods. Associations between cluster membership and socio-economic variables were investigated using multivariable multinomial logistic regression. Results A total of 1391 participants were included in analyses and four clusters were identified: (1) “Moderate to high PA, low soft drinkers, low alcohol consumers low SB, non-smokers” (n = 543; 39.0%), (2) “High SB and low fruits and vegetables consumers” (n = 376; 26.8%), (3) “Smokers and alcohol consumers” (n = 247; 17.7%) and (4) “High fruits and vegetable consumers, soft drinkers and low PA” (n = 229; 16.5%). Compared to the healthiest cluster (cluster 1), adolescents from cluster 2&3 (unhealthy clusters) were more likely boys, older, attending vocational high school and not living with their two parents. Adolescents from cluster 4 were more socially advantaged (according to the WHO family affluence scale) than those of cluster 1. Conclusions Risk behaviour patterns in adolescents were shown to be clustered in both healthier and less healthy ways, with a complex interplay with socio-economic factors. Adapted to cluster Public health interventions may bring some benefits.


Issue/problem
Since 2016, French doctors are allowed to prescribe adapted physical activity (APA) to patients with long-term illness (ALD) through the 'sport sur ordonnance' program. Despite the goal of promoting physical activity in ALD patients, health authority recent reports unanimously highlight organisational and funding difficulties. Whereas most of the funding effort is based on national or mutual insurance companies, our intervention proposes to fix the organisational difficulties. We provided an optimized care pathway coordinated by an APA professional and an innovative online platform to ease medical prescription, patients access and follow-up to APA. Problem description Three main problems have been identified: Diagnostic heterogeneity, APA accessibility and Program evaluation. To fix these issues, the proposed intervention firstly included an initial evaluation based on a standardized diagnostic. Secondly, we evaluated APA structures following functional specifications and referenced those succeeding the criteria to ensure an optimized patients' orientation toward an adapted care service. Finally, pre-and post-care bio-psycho-social tests were mandatory. Interviews and evaluation data were stored via questionnaires on our securized platform for further analyses. Results 2200 patients benefited from our program, and 116 yet finished the whole 2-years program. Patients description: 64 yo, 66% women, 35% cancer, 14% diabetes, 11% heart failure and 9% mental illnesses. 96% declared being motivated to maintain their physical activity after the program and reported a 4.8/5 in rating their APA care. Significant pre-post enhancements suggest that our program succeed in promoting and facilitating regular APA practice in ALD patients.

Lessons
The ecosystem built around insurance companies (APA professionals, doctors and patients) provides an appropriate response to the health policy dedicating to promote a regular APA practice for ALD patients. However, the expected efficiency depends on a structured, organized and innovative system. Firstly, evaluating the medicoeconomic impact is necessary to ensure the sustainability of this national policy. Systematically measuring the pre-and post-care intervention should allow reaching this objective. Secondly, we learned that the necessary next steps will rely on time saving and quality increase. We propose automatized detailed and patient specific prescription following HAS guidelines and automatized Abstract citation ID: ckac094.034 O5-2 Tele-rehabilitation program 'Funktionstrainingonline' in people with Multiple Sclerosis -preliminary results of a first online survey

Background
In 2019, the German Multiple Sclerosis (MS) Society was certified as a provider for ?Funktionstraining? (FT). FT is an exercise training program developed for people with disabilities or people at risk of disability, takes place weekly and is led by a qualified FT-therapist. It is prescribed by a physician (between 12 and 24 months) and is part of outpatient medical rehabilitation. Due to the COVID-19 pandemic, the telerehabilitation concept 'Funktionstraining-online' (FT-online) was developed for pwMS. This study examines the FT-online from a participants' point of view within an online survey.

Methods
We developed an online questionnaire that included data of sample characteristics, participants' experiences with FT-online in terms of usability and training content. Further, the survey captured the quality of FT-online and the FT-therapist and compared carefully FT-online with face-to-face training. The standardised questionnaires Self-Efficacy Scale -Short Form (ASKU), the Multiple Sclerosis Questionnaire for Physiotherapists MSQPT and the Fatigue-Questionnaire (WeiMuS) were included. The 103 interviewed people with MS (pwMS) participated in FT-online at least for three months.

Results
Data analyses are in process. The response rate was 75% (n = 78). The analysed sample is 53.4AE8.1 years old with a disease duration of 18AE8.7 years (male=7, female=71). Preliminary results in the ASKU certify a low self-efficacy in the sample (2.25 AE0.67). Qualitative results show the advantages for FT-online in the independence of mobility and infrastructure, flexibility, compatibility within job and family, group feeling in times of social distancing and an increase in quality of life. The disadvantages described by the sample are mainly technical problems and lack of socialising. 35% (n = 27) participants experienced both: FT-online and face-to-face. 44.4% (n = 12) of this sample prefer FT-online, 33.3% (n = 9) prefer the face-to-face training course and 22.2% (n = 6) rate both kinds of training equal.

Conclusions
The implementation of FT-online was an important step to ensure the exercise-related physical activity in pwMS during the COVID-19 pandemic. The descriptive analyses show high potential for FT-online training in pwMS. We are aware of the bias in current data, because of the pandemic situation both the free choice of FT-offers and the pandemic circumstances held influence in study outcomes. First results lead to the conclusion

Background
It has been suggested that risk behaviours including diet, physical activity (PA), sedentary behaviour (SB), smoking and alcohol consumption cluster among adolescents. Our objective was to investigate clustering of risk behaviours in overweight and obese adolescents from the French PRALIMAP-InèS trial and to identify their socioeconomic correlates.

Methods
Information on diet (fruit, vegetables, sugary products and beverages), PA, SB (week and week-end days), smoking and alcohol consumption (current frequency and intoxication episodes) and socio-demographical data were collected using self-reported questionnaires at the trial inclusion. Behavioural risk factors were entered as categorical variables in a two-step clustering procedure: multiple correspondence analyses followed by a two-way clustering procedure based on hierarchical methods. Associations between cluster membership and socioeconomic variables were investigated using multivariable multinomial logistic regression.

Background
Technology-based physical activity interventions (TbPAI) have recently been shown to be effective for care of obese women (Cotie et al., 2018). Therefore, it is necessary to assess the acceptability of TbPAI to ensure dissemination and usage in the treatment of obesity (Venkatesh et al., 2012). As such, the purpose of this study was to: (1) identify acceptability profiles of three TbPAI in obesity care (e.g., active video games, mobile applications, videoconferencing); (2) examine the issues of consistency or change of acceptability profiles for the same individual across the three technology; and (3) explore whether technology acceptability profiles were associated with motivation for physical activity (PA), general causality orientations for PA and sociodemographic data.

Methods
Three hundred and twelve women with a mean age of 30.7 (SD=7.1) years, and a mean BMI of 34.9 (SD=9.2) kg/m 2 were recruited from health services that provide obesity management. Enrolled participants completed an online survey including the following measures: motivation for PA, general causality orientations for PA, TbPAI acceptability for the three selected technologies based on the UTAUT2 model (Venkatesh et al., 2012), and sociodemographic data. Ethical approval was gained by local committee, and informed consent were obtained from the participants before data collected. We used a Latent Profile Transition Analysis (LPTA) approach.

Results
A 2-class model (high and low acceptability) best described latent classes for each technology. Acceptability profiles changed over the technologies. Background While urban built environments might promote active ageing, an infrequently studied question is how the neighbourhood walkability modulates physical activity changes during a physical activity intervention program in older adults. We assessed the influence of objectively assessed neighbourhood walkability on the change in physical activity during the intervention program used in the ongoing PREvenció n con DIeta MEDiterránea (PREDIMED)-Plus trial. PREDIMED-Plus is a parallel-group, randomized trial which tested the effect of an intensive lifestyle intervention on cardiovascular disease prevention, in overweight and obese participants with the metabolic syndrome.

Method
The present study involved 228 PREDIMED-Plus senior participants aged between 55 to 75, recruited in Palma de Mallorca (Spain). Overweight/obese older adults with metabolic syndrome were randomized to an intensive weight-loss lifestyle intervention or a control group (106 intervention group and 122 control group). A home neighborhood environment walkability index (residential density, land use mix, intersections density) was calculated using geographic